Eastside Manor Inc. Dba Southern Oaks
NPI 1205249927 · Assisted Living Facility · Greenville, SC
Eastside Manor Inc. Dba Southern Oaks is a Assisted Living Facility organization in Greenville, SC (NPI 1205249927).
Provider details
- NPI number
- 1205249927
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gail Boudreau, Executive Director(864) 288-3271
- License
- CRC0611 (SC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2014-06-10
Frequently asked questions
- What is Eastside Manor Inc. Dba Southern Oaks's NPI number?
- Eastside Manor Inc. Dba Southern Oaks's National Provider Identifier (NPI) is 1205249927, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Manor Inc. Dba Southern Oaks?
- Eastside Manor Inc. Dba Southern Oaks is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Eastside Manor Inc. Dba Southern Oaks located?
- Eastside Manor Inc. Dba Southern Oaks's practice location on file with NPPES is 120 Roper Mountain Road Ext, Greenville, SC 29615-4823.
- What is Eastside Manor Inc. Dba Southern Oaks's phone number?
- The practice phone number listed in the NPPES registry for Eastside Manor Inc. Dba Southern Oaks is (864) 288-3271.
- Who is the authorized official for Eastside Manor Inc. Dba Southern Oaks?
- The authorized official listed on Eastside Manor Inc. Dba Southern Oaks's NPPES record is Gail Boudreau, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Manor Inc. Dba Southern Oaks's NPI active?
- Yes — Eastside Manor Inc. Dba Southern Oaks's NPI (1205249927) is active in the NPPES registry as of the last update on 2014-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.